| Entity Name: | ADVANCED PATIENT TRANSPORTATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Jan 1996 (29 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P96000009927 |
| FEI/EIN Number | 593381444 |
| Address: | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Mail Address: | 1 SHIRCLIFF WAY, SUITE 1114, JACKSONVILLE, FL, 32204, US |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558464529 | 2006-09-06 | 2014-07-29 | 2300 PARK AVENUE, SUITE 206, ORANGE PARK, FL, 32073, US | 2300 PARK AVENUE, SUITE 206, ORANGE PARK, FL, 32073, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-278-4274 |
| Fax | 9043995919 |
Authorized person
| Name | MR. DONNIE ROMINE |
| Role | COO |
| Phone | 9043081290 |
Taxonomy
| Taxonomy Code | 341600000X - Ambulance |
| License Number | ALS2406 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | A0644 |
| State | FL |
| Issuer | MEDICAID |
| Number | 400078100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MIDDLEBROOKS J. HUGH | Agent | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| VANOSDOL THOMAS J | Director | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| HESS PAMELA | Director | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| SANDERS KYLE | Director | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| VANOSDOL THOMAS J | Chairman | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| VANOSDOL THOMAS J | President | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| HESS PAMELA | Secretary | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| HESS PAMELA | Treasurer | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| SANDERS KYLE | Vice Chairman | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000084297 | ST. VINCENT'S AMBULANCE SERVICE | EXPIRED | 2012-08-27 | 2017-12-31 | No data | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-30 | 1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-30 | 1 SHIRCLIFF WAY, SUITE 1114, JACKSONVILLE, FL 32204 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-25 | MIDDLEBROOKS, J. HUGH | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-27 | 1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-03-01 |
| ANNUAL REPORT | 2010-04-09 |
| ANNUAL REPORT | 2009-04-21 |
| ANNUAL REPORT | 2008-03-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
